Individual
MISS JESSICA DANIELLE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
800 MAIN ST, NEWBERRY, SC 29108-3351
(803) 276-5690
Mailing address
800 MAIN ST, P. O. BOX 738, NEWBERRY, SC 29108-3351
(803) 276-5690
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9800
SC
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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